Evidence map›Paper›PMID 36690698›Full record

ArticleScientific reports2023

Daily exposure to virtual nature reduces symptoms of anxiety in college students.

Matthew H E M Browning, Seunguk Shin, Gabrielle Drong, Olivia McAnirlin, Ryan J Gagnon, Shyam Ranganathan, Kailan Sindelar, David Hoptman, Gregory N Bratman, Shuai Yuan and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06028360 (The Effect of Virtual Reality), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06028360 naunknown statusnot on this map

The Effect of Virtual Reality (VR) and Progressive Muscle Relaxation (PMR) in Stress Management Among Physiotherapy Students

TypeinterventionalSponsorShalamar Institute of Health SciencesRan2023 to 2023Enrolled30ConditionsStressArmsProgressive Muscle Relaxation, Virtual Reality Therapy
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  13. Contributing Factors to the Rise in Adolescent Anxiety and Associated Mental Health Disorders: A Narrative Review of Current Literature.Journal of child and adolescent psychiatric nursing : official publication of the Association of Child and Adolescent Psychiatric Nurses, Inc · 2025
    Review
  14. Virtual nature and well-being: Exploring the potential of 360° VR.Applied psychology. Health and well-being · 2025
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Matthew H E M BrowningVirtual Reality and Nature Lab, Clemson University, Clemson, SC, USA. mhb2@clemson.edu.
Seunguk ShinDepartment of Natural Resources and Environmental Sciences, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
Gabrielle DrongCollege of Education, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
Olivia McAnirlinVirtual Reality and Nature Lab, Clemson University, Clemson, SC, USA.
Ryan J GagnonDepartment of Parks, Recreation and Tourism Management, Clemson University, Clemson, SC, USA.
Shyam RanganathanSchool of Mathematical and Statistical Sciences, Clemson University, Clemson, SC, USA.
Kailan SindelarUniversity of North Florida, Jacksonville, FL, USA.
David HoptmanINVIROVR Inc., Santa Fe, NM, USA.
Gregory N BratmanSchool of Environmental and Forest Sciences, University of Washington, Seattle, WA, USA.
Shuai YuanVirtual Reality and Nature Lab, Clemson University, Clemson, SC, USA.
Vishnunarayan Girishan PrabhuVirtual Reality and Nature Lab, Clemson University, Clemson, SC, USA.
Wendy HellerDepartment of Psychology, University of Illinois at Urbana-Champaign, Champaign, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exposure to natural environments offers an array of mental health benefits. Virtual reality provides simulated experiences of being in nature when outdoor access is limited. Previous studies on virtual nature have focused mainly on single "doses" of virtual nature. The effects of repeated exposure remain poorly understood. Motivated by this gap, we studied the influence of a daily virtual nature intervention on symptoms of anxiety, depression, and an underlying cause of poor mental health: rumination. Forty college students (58% non-Hispanic White, median age = 19) were recruited from two U.S. universities and randomly assigned to the intervention or control group. Over several weeks, anxious arousal (panic) and anxious apprehension (worry) decreased with virtual nature exposure. Participants identifying as women, past VR users, experienced with the outdoors, and engaged with the beauty in nature benefited particularly strongly from virtual nature. Virtual nature did not help symptoms of anhedonic depression or rumination. Further research is necessary to distinguish when and for whom virtual nature interventions impact mental health outcomes.

Indexed as

AnxietyVirtual RealityAdultAnxiety DisordersFemaleHumansMental HealthStudentsYoung Adult

Identifiers

PMID36690698
PMCPMC9868517

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.